Later on it was termed OSMF by Joshi in 1953.[4]It is generally accepted today that areca nut quid plays a major role in the etiology of the disease (Babu et al ).[5] The disease occurs mostly in India and in South East Asia but the cases have been reported world wide like Kenya, China, UK, Saudi Arabia and other part of the world where Asians are migrating (Tang et al ,[6] Shah et al ).[7]In rece